A controlled study of peripheral neuropathy after bariatric surgery

Thaisetthawatkul, Pariwat; Collazo–Clavell, Maria L.; Sarr, Michael G.; Norell, Jane E.; Dyck, Peter James

doi:10.1212/01.wnl.0000142038.43946.06

Cited by 233 publications

(220 citation statements)

References 30 publications

(25 reference statements)

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“…Peripheral neuropathy is the most commonly described neurological complication of BS 1 . Nutritional deficiencies may play the most important role in the pathogenesis of PN, although each case must be evaluated individually 2 , 4 , 7 .…”

Section: Discussionmentioning

confidence: 99%

“…A recent controlled study of PN after BS identified risk factors for development of PN, more often o b s e rved in these patients than in obese patients submitted to cholecystectomy 1 . Of the 435 patients who had BS, 16% developed PN, compared to only 3% in the cholecystectomy group (p<0.001).…”

Section: Discussionmentioning

confidence: 99%

“…The etiology of peripheral neuro p athy after BS is probably multifactorial and different in each subgroup described above. It appears that nutritional deficiencies may play the most import a n t role in pathogenesis 1,2,4,5 .…”

mentioning

confidence: 99%

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Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery

Machado

Valério

Morgulis

et al. 2006

Arq. Neuro-Psiquiatr.

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Bariatric surgery is frequently indicated in the treatment of morbid obesity. Previously unreported complications have been associated to this surgery; among them, neurological complications have gained attention. We report the case of a 25-year-old man submitted to gastric surgery for treatment of morbid obesity who developed, two months after surgery, acute proximal weakness in lower limbs. The electroneuromyography revealed axonal peripheral polyneuropathy with predominant proximal involvement. After treatment with immunoglobulin and vitamin supplementation, rapid clinical and neurophysiologic recovery was observed. We describe the clinical and electroneuromyographic features of this case, stressing the difficulty of initial diagnosis, particularly in the differential diagnosis with Guillain-Barré syndrome. We discuss the importance of nutritional follow-up and the eventual indication of routine vitamin supplementation in these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery

Machado

Valério

Morgulis

et al. 2006

Arq. Neuro-Psiquiatr.

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“…52,53 In particular, vitamin B1 deficiency (beriberi) has been well-described after bariatric surgery in adults 54 as well as several of our adolescent patients. 55 In our adolescent cases, the predominant symptoms were similar to those in adults and occurred within 6 months of surgery.…”

Section: Nutritional Risks Of Weight Loss Surgerymentioning

confidence: 95%

Bariatric surgery for pediatric extreme obesity: now or later?

2006

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Obesity is a multifactorial disease of epidemic and global proportions that poses the most significant threat to the health of our younger generations. Those who are the most extremely affected bear the largest burden of health problems. In the US, extreme obesity affects approximately 9 million adults and 2 million children, and is associated with both immediate health problems and later health risk, including premature mortality. Present medical and behavioral interventions for extreme obesity in adults and children rarely result in the significant, durable weight loss necessary to improve health outcomes, prompting a search for more aggressive measures. Weight loss (bariatric) surgery has been advocated as an intervention for those with extreme obesity. In adults, bariatric surgery results in prolonged weight control and improvement in serious obesity comorbidities, namely type 2 diabetes, dyslipidemias, hypertension and obstructive sleep apnea syndrome. A surge in weight loss operations for adolescents has been observed recently, with a threefold increase in case volumes nationwide from 2000 to 2003. Current evidence suggests that after bariatric surgery, adolescents lose significant weight and serious obesity-related medical conditions and psychosocial status are improved. Thus it is reasonable to propose that bariatric surgery performed in the adolescent period may be more effective treatment for childhood-onset extreme obesity than delaying surgery for extremely obese youth until adulthood. This position has been echoed by a number of groups and an independent systematic review. Finally, it is conceivable that bariatric surgery performed in adulthood for childhood onset extreme obesity may not be as effective for comorbidity treatment as surgery performed earlier during adolescence. The purpose of this review is to examine the evidence, which supports early rather than later use of bariatric surgery in the treatment of extreme obesity, and to present this information in light of the medical and surgical risks of bariatric surgery.

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“…La incidencia aproximada de polineuropatías después de cirugía bariátrica es de 0,06 % (10), aunque algunos estudios retrospectivos reportan una incidencia de hasta 16 % de algún tipo de polineuropatía después de cirugía bariátrica (8,13).…”

Section: Polineuropatía Asociada a Déficit Vitamínicounclassified

Encefalopatía de Wernicke y polineuropatía asociada a déficit de complejo B después de una cirugía bariátrica

et al. 2012

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Contribución de los autores:Todos los autores participaron en la revisión de la literatura. Diana L. Franco y Tomás Carvajal: escritura del artículo y organización de laboratorios e imágenes. Adriana Martínez e Iván M. Peña: edición, revisión y escritura adicional, así como contribución en manejo y seguimiento de la paciente. Adriana Martínez se encargó de la adquisición de las imágenes. La cirugía bariátrica es un tratamiento que garantiza una pérdida de peso sustancial y duradera, y beneficios tangibles respecto a condiciones médicas asociadas a la obesidad. El aumento del número de cirugías bariátricas ha llevado también a un aumento de las complicaciones relacionadas con ella, incluyendo la encefalopatía de Wernicke y la polineuropatía por deficiencia de vitaminas del complejo B. En este artículo se reporta un caso de encefalopatía de Wernicke siete semanas después de la cirugía, enfatizando en la importancia de reconocer el espectro de la sintomatología para hacer un diagnóstico temprano, que permita intervenir en la fase reversible de esta enfermedad potencialmente letal. PRESENTACIÓN DE CASOPalabras clave: encefalopatía de Wernicke, polineuropatías, obesidad, derivación gástrica, tiamina, piridoxina.doi: http://dx.doi.org/10.7705/biomedica.v32i4.765 Wernicke's encephalopathy and polyneuropathy associated with vitamin B complex deficiency after a bariatric surgeryBariatric surgery is a treatment that guarantees a substantial and lasting weight loss in addition to the tangible benefits relating to obesity-associated medical conditions. The increasing number of bariatric surgeries has revealed an increasing number of complications related to this procedure, including Wernicke´s encephalopathy and vitamin B deficiency polyneuropathies. Herein, a 7-week post-surgery case of Wernicke´s encephalopathy is presented that emphasizes the importance of an early recognition of these symptoms so as to initiate intervention during the reversible phase of these potentially lethal pathologies.

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A controlled study of peripheral neuropathy after bariatric surgery

Cited by 233 publications

References 30 publications

Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery

Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery

Bariatric surgery for pediatric extreme obesity: now or later?

Encefalopatía de Wernicke y polineuropatía asociada a déficit de complejo B después de una cirugía bariátrica

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